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CHILD ABUSE AND NEGLECT DISABILITY OUTREACH PROJECT

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PREVENTING ABUSE OF PEOPLE WITH DISABILITIES

We Can Do It!

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The FIRST Online Professional Training on
Abuse and Disabilities

Always Online!

Funding from United States Department of Justice Office for Victims of Crime

Print/FAX/Mail Registration Form
Fill out and fax to 775-213-7517 OR mail to LifeNET, Inc, 210 Eddy St, Ithaca, NY, 14850
Phone: 607-275-9360 . Make checks payable to LifeNET, Inc.

Training Fee includes 22 training modules, plus additional hours of faculty contact time PLUS free membership in the Online eLearning Center for this conference for an entire year. Continuing Education credit is available for an additional fee.

Individual Registration
$150  
Group Rate (10+ registrants from the same organization or training center) $Contact us Group Code (need a group code? call 607-275-9360 if you have 10+ registrants)

MasterCard Visa Discover American Express Check PO

Name as it appears on your card/check: Card/Check Number/po# Expiration Date (MM/YYYY)

Registration Information

Date:
First Name
Last Name
Degree/Certification
Agency
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Profession
Phone
FAX
Email
Special needs and comments
Conference Call Option (Involves additional charges) Add $50 to my bill, and give me my Telephone Call-in number so I can attend the LIVE sessions between September 9 and September 29 2004, and access all resources until August 2005. (I understand that if I miss any sessions, this charge still applies, but I will have access to all the STREAMING recordings of all sessions on the Web until August 2005.)
GREATEST SAVINGS: I've decided to attend by viewing the sessions as STREAMING recordings on the Web, AFTER the live sessions have been recorded. You will provide me with access to links to all recorded sessions, and all other Internet resources, until August 2005

 

 

Fees and terms subject to change.

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